Task Shifting - Global Recommendations and Guidelines - unaids

Contents
Preface.............................................................................................................................................................................
Executive Summary...............................................................................................................................................2
Summary of recommendations.....................................................................................................................3
Background................................................................................................................................................................6
Scope..............................................................................................................................................................................9
Summary of methods........................................................................................................................................11
Recommendations on adopting task
shifting as a public health initiative
Recommendation 1.......................................... 14
Recommendation 2.......................................... 16
Recommendation 3.......................................... 17
Recommendation 4.......................................... 19
Recommendations on creating an
enabling regulatory environment
for implementation
Recommendation 5.......................................... 20
Recommendation 6.......................................... 23
Recommendations on ensuring
quality of care
Recommendation 7.......................................... 24
Recommendation 8.......................................... 26
Recommendation 9.......................................... 28
Recommendation 10....................................... 30
Recommendation 11....................................... 31
Recommendation 12....................................... 33
Recommendations on ensuring
sustainability
Recommendation 13....................................... 34
Recommendation 14....................................... 35
Recommendation 15....................................... 37
Recommendations on the
organization of clinical care services
Recommendation 16....................................... 38
Recommendation 17....................................... 40
Recommendation 18....................................... 41
Recommendation 19....................................... 43
Recommendation 20....................................... 45
Recommendation 21....................................... 48
Recommendation 22....................................... 49
Annexes
1. HIV clinical tasks by health worker cadres ........................................................................................51
2. Reference List.....................................................................................................................................................64
3. Methodology........................................................................................................................................................70
4. Guiding principles for country adaptation and implementation..............................................76
5. Monitoring and evaluation ..........................................................................................................................78
6. Definitions..............................................................................................................................................................79
7. Technical experts and stakeholders........................................................................................................82
Annexes available in electronic form (CD attached)
a. WHO-Commissioned Study on Task Shifting
b. Table of evidence
c. Declarations of conflicts of interest
d. Global cost estimate for the task shifting approach